| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
1
|
Walls and ceilings clean, good repair |
No |
No
|
No |
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Continue to clean scuff marks from lower section of walls in hallway. Touch-up paint/repaint door framing to residents room and bathrooms, walls within rooms and storage closets/rooms. Clean doors. Clean lower section of wall in elevator(parking garage) and secure loose lower panel within elevator. |
|
5
|
0
|
Ventilation equipment clean, good repair |
No |
No
|
No |
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Replace damaged filter in PTAC units (heating and cooling units) within residents rooms. (older PTAC units) |
|
7
|
0
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed (1) hand washing sink in men and women public restroom not operating. Batteries in sensors replaced at time of inspection and hand washing sinks were operating. |
|
9
|
0
|
Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected |
No |
No
|
No |
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed bedpan not labeled in residents room. Label all bedpans, emesis basin and urinal identifying items being used with the associated resident. |
|
32
|
0
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed (1) damaged mattress in (1) room from where a pin on the bed came loose and pinched/ ripped mattress. The (1) mattress replaced at time of inspection. Continue to replace bedside stand/night stands in rooms which varnish is worn and wearing off. |
|
37
|
0
|
Wheelchairs, walkers, lifts, and other mobility equipment properly cleaned and sanitized |
No |
No
|
No |
.1319 (f) Wheelchairs, walkers, lifts, and other mobility equipment shall be kept clean and sanitized between uses by different residents. The (1) wheel chair with damaged back removed from ACU at time of inspection. |
|
38
|
0
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Wipe/clean interior of microwave on 4th and 3rd floor. Splash and splatter inside of microwave was recently from today. Tighten loose handle on cabinet door on third floor nourishment. |
|
44
|
0
|
Time/Temperature Control for Safety (TCS) foods maintained as required |
No |
No
|
No |
.1323 (a) All TCS food shall be maintained at temperatures required by Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653 during storage, preparation, transportation, display, and service of the TCS food. The new cold holding temperature for TCS food (time temperature control for food safety) is 41F. Observed container of milk in door of refrigeration unit 42F-43F. Monitor temperature on all refrigeration units to ensure TCS food are being held at 41F and below. Recommend not stocking nourishment refrigeration units so full with other food products. |
|
51
|
0
|
Proper use of restriction, exclusion, and reporting |
No |
No
|
No |
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. Employee health policy given to administrator at time of inspection. |
|
52
|
0
|
Vomitus and diarrheal clean up supplies; written clean up procedures available and complete |
No |
No
|
No |
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Vomitus and diarrhea clean up plan hand out given to administrator at time of inspection. |